Treatment of Oral Vascular Anomalies by Transfixion Technique

background. Vascular anomalies (hemangiomas and vascular malformations) are frequently located in the oral cavity. They can be treated by cool steel surgery, cryotherapy, laser therapy, embolization, and sclerosis. The choice of treatment should depend on the type of vascular anomaly, its site, the...

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Bibliographic Details
Published in:Dermatologic surgery 1998-10, Vol.24 (10), p.1087-1091
Main Authors: VÁZQUEZ‐DOVAL, F. JAVIER, VICENTE, F. JAVIER
Format: Article
Language:English
Subjects:
Adult
Aged
Arteriovenous Malformations - surgery
Biological and medical sciences
Female
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Hemangioma - surgery
Humans
Male
Medical sciences
Middle Aged
Mouth - blood supply
Mouth Neoplasms - surgery
Oral Surgical Procedures - methods
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Suture Techniques
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Summary:background. Vascular anomalies (hemangiomas and vascular malformations) are frequently located in the oral cavity. They can be treated by cool steel surgery, cryotherapy, laser therapy, embolization, and sclerosis. The choice of treatment should depend on the type of vascular anomaly, its site, the general condition of the patient, and the doctor's experience. objective. The objective of this article is to assess the usefulness, indications, and advantages of transfixion technique in the treatment of oral vascular lesions. methods. We present seven patients with various vascular anomalies in the oral cavity that were treated using transfixion technique. This procedure is performed with local infiltration anesthesia and it consists of interlacing a polyglycolic acid suture a number of times in an upward direction until the vascular anomaly becomes bloodless. results. In all seven patients we completely eliminated the vascular lesion without significant long‐term complications. We detected a transitory retractil scar in only one patient and edema in the postoperative period in another one. conclusions. Treatment of vascular anomalies of the oral cavity by transfixion technique is an effective, simple method that does not cause major complications and is low in cost.
ISSN:1076-0512
1524-4725
DOI:10.1111/j.1524-4725.1998.tb04080.x